Five months ago Deb—my office manager—developed pain in her right armpit. It was initially mild, yet over a course of weeks it had become severe enough that she had difficulties with typing and filing. I never pried nor insisted that she be seen by her physician, and Deb is so accustomed to minimizing her own concerns—so reluctant to “bother a doctor”—that she did not seek formal consultation until quite recently. One month ago she visited her primary care physician and was prescribed a ten-day course of ibuprofen. Two weeks ago she saw a physiatrist, who ordered magnetic resonance imaging—a study that was ultimately canceled.